01/16/2026
A new JAAD Case Report by Dr. Jordan Talia with recent residency graduate Dr. Deep Pne, her disease remained steroid dependent with rapid flares on taper. Following confirmation of oral lichen planus through careful clinicopathologic correlation, initiation of ritlecitinib led to rapid symptomatic improvement within forty-eight hours, steroid discontinuation within two weeks, and durable disease control π₯π.atel, highlights a novel therapeutic approach for severe erosive oral lichen planus using the JAK3 and TEC kinase inhibitor ritlecitinib π§¬π. They describe a woman with an eighteen-month history of painful, refractory oral erosions and desquamative gingivitis that significantly impaired eating and quality of life. Despite prolonged treatment with topical therapies, doxycycline, and chronic low-dose predniso
πhttps://bit.ly/3MSu1mx
This case is important for Dermatology because erosive oral lichen planus remains one of the most challenging inflammatory mucosal diseases to manage, often requiring long-term systemic immunosuppression with significant toxicity β οΈ. The dramatic and reproducible response to ritlecitinib supports a central role for JAK-mediated signaling in oral lichen planus pathogenesis and highlights JAK3 inhibition as a promising targeted strategy π―. Unlike broader immunosuppressants, selective pathway inhibition may offer more durable control with an improved safety profile, particularly for patients with steroid-dependent or refractory disease. Given the known risk of malignant transformation in oral lichen planus, achieving sustained inflammation control is not only symptomatic relief but also a critical long-term goal π¦·π. This work adds to Mount Sinaiβs growing contributions in precision Dermatology and underscores the potential of targeted immunomodulation for difficult mucocutaneous disease.
Icahn School of Medicine at Mount Sinai
The Mount Sinai Hospital